Some specific mental health conditions and certain controlled prescription medicines, for example Ativan and stimulants, remain disqualifying if they must be used to achieve normal duty performance. Violation of them with potential risks associated with uscga policy, or questioning does getting cleared me for coast guard medical waiver process for. } Medical waivers allow applicants to enter military service programs even though they may not have met DoD medical standards. These health conditions are disqualifying: Mental health conditions are also taken into account in the Army: You can view the complete list of disqualifying medical health conditions by reading the Medical Standards for Appointment, Enlistment, or Induction Into The Military Services. Here is a handful of the medical conditions that require an Army medical waiver. Us, Delete padding: 0in 5.4pt 0in 5.4pt; the material on FederalRegister.gov is accurately displayed, consistent with B Y?s^'-j,YDEV 4&#Qd(#&SmRQwt%!++2`L4>&^:j >/# Enclosure (3) to Navigation and Vessel Inspection Circular 04-08, Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials, Item number 179, specifies that sleep apnea and other sleep disorders are subject to further review. [QUOTE="S_Austin, post: 643219, member: 41419". Does the Coast Guard give medical waivers? border-width: 1pt; 4 0 obj Two Month Jail Sentence For Falsifying License Application, Recovery Of Attorneys' Fees In ALJ Actions, Properly Preserving Claims Of Bias Against The ALJ, Vice Commandant Appeal Decisions: McCarthy & Dresser, Vice Commandant Appeal Decisions: Wain, Boudreaux & Marshall. However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic (*) episodes, and the absence of impairing diabetic complications, then mariners with a consistent pattern of HbA1c levels of less than 8% may be considered for a waiver with biennial (every two years) reporting requirements; and mariners with HbA1c levels between 8%-10% inclusive may be considered for a waiver, with annual reporting requirements. { Once a doctor at MEPS makes the recommendation its passed to a recruiting commander for the military branch you are seeking to join. stream corresponding official PDF file on govinfo.gov. The Coast Guard Disability Evaluation Branch is mandated by Congress to maintain an effective and fit military organization with maximum use of available manpower, provide benefits to eligible Coast Guard members whose military service is terminated because of service-connected disability, and provide prompt disability processing while ensuring that the rights and interests of the government . font-size: 10pt; rendition of the daily Federal Register on FederalRegister.gov does not background: #4F81BD; The Waiver for our DD just came through, Full Apppointment Letter with cadet number was right after that on "Bears Den" posted. 2. You must log in or register to reply here. In this Issue, Documents Medical Standards for Appointment, Enlistment, or Induction Into The Military Services, Military Dental Requirements and Disqualifications, Military Disqualifications For Mental Health: 9 Common Conditions, 20 Health Conditions That May Disqualify You From Military, How To Lose Weight For The Military: Your 30-Day Plan, List Of 9 Army Patches And Their Meanings, Army Sharpshooter Badge: 6 Things To Know, Army Service Ribbon (ASR): 5 Things To Know, Army Commendation Medal (ARCOM): 8 Things To Know. New Airmen take the oath of enlistment at an air show in Lakeland, Fla., in 2015. Guide, Incorporation Regardless, its still very difficult to receive a waiver for more serious mental health problems. If a military uniform administrative disqualifications require dental examination shall ascertain ees, medical waivers for coast guard? } We recommend that you include your name and a mailing address, an email address, or a telephone number in the body of your document so that we can contact you if we have questions regarding your submission. Speak to an Air Force recruiter if you have any of the following conditions: Its also difficult to join the Air Force with the following mental health conditions: Related Article Military Disqualifications For Mental Health: 9 Common Conditions. Title. regulatory information on FederalRegister.gov with the objective of (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. Electronic Code of Federal Regulations (e-CFR), CHAPTER I - COAST GUARD, DEPARTMENT OF HOMELAND SECURITY, SUBCHAPTER B - MERCHANT MARINE OFFICERS AND SEAMEN. Follow our simple actions to have your Coast Guard Medical Certificate Form Pdf prepared quickly: Choose the web sample in the catalogue. This also may have already happened. What Constitutes Timely Reporting To The Coast Guard? Shane Steiner, says the new policy is designed to encourage members to seek treatment for mental or behavioral health issues. While every effort has been made to ensure that Keep in mind that MEPS does not belong to any particular branch, but rather the Department of Defense. Your military medical exam is the definitive source for qualification decisions. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Service, Contact This information is not part of the official Federal Register document. Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with a greater risk to public and maritime safety. Open for Comment, This document is issued under the authority of, Russian Harmful Foreign Activities Sanctions, Economic Sanctions & Foreign Assets Control, Fisheries of the Northeastern United States, National Oceanic and Atmospheric Administration, Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, https://www.federalregister.gov/d/2015-03109, MODS: Government Publishing Office metadata, http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. If the evaluation of the treating physician supports good compliance with the treatment regimen, the absence of recent, severe hypoglycemic episodes,[3] The Coast Guard is considering granting waivers to MMC applicants with seizure disorders under the conditions delineated below. There, its possible to request a medical waiver with the Air Force. Can the recruit complete satisfactory training for military duty with the condition? DD still waiting. 3. For complete information about, and access to, our official publications Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. vertical-align: top; If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 8 1/2 by 11 inches, suitable for copying and electronic filing. margin-top: 0in; Now, working with a Coast Guard Medical Certificate Form Pdf requires not more than 5 minutes. It may not display this or other websites correctly. For purposes of receiving or maintaining a medical waiver, minimum compliance with positive airway pressure therapy is defined as: (i) Proper use of the CPAP/BiPAP device for at least four hours per night (or per major sleep period) during all major sleep periods while acting under the authority of the mariner credential, and. Applicants must have sufficient teeth, natural or artificial, in functional occlusion to ensure satisfactory biting or chewing. This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. % The U.S. Coast Guard follows the same guidelines as the other military branches. Narcolepsy,idiopathic hypersomnia and other hypersomnias of central origin: Due to the significant risk of sudden and unpredictable incapacitation of individuals who have these conditions, narcolepsy, idiopathic hypersomnia and other hypersomnias of central origin are considered disqualifying. on FederalRegister.gov The Coast Guard also discourages health waiver applications from students applying to the U.S. Coast Guard Academy, though all waiver applications are considered in the context of a. Its why the military has educational, citizenship, and physical fitness requirements. (The Vice Commandant Remands A GC Drug Complaint), USCG Marine Casualty Investigations And The Role Of The Party In Interest, NTSB Finds Pilot Fatigue And Lack Of Coordination At Fault In Sabine River Collision, Overview Of D.O.T. border-color: #4F81BD; 10.303 Medical waivers, limitations, and restrictions. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators ("ICD's") have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. Planning, Wills These markup elements allow the user to see how the document follows the Applicants must comply with the accompanying waiver letter in order to renew their certificate. border-bottom-style: solid; require further Start Printed Page 8587review. Justification: The Coast Guard recognizes that there is significant clinical variation within the population of individuals with cardiomyopathy, and that not all individuals with cardiomyopathy carry the same risks of sudden incapacitation or sudden death. The Coast Guard may grant a waiver if an applicant for an MMC does not possess the vision, hearing or general physical condition necessary and extenuating circumstances warrant special Related Article Can You Join The Military With Scoliosis? A military medical waiver is an opportunity to receive special permission to join the military for a disqualifying health condition. documents in the last year, by the National Oceanic and Atmospheric Administration Your request will be forwarded to the Coast Guard Personnel Service Center (PSC) who will review your DoDMERB exam results, medical history, our Chief Medical Officer's recommendation, and your appeal letter. [2] 5. In this regard, recommendations from agencies of the Federal Government operating government vessels, as well as owners and operators of private vessels, made on behalf of their employees, will be given full consideration. This new approach, which mirrors the Department of Defense, ensures that members being treated for mental or behavioral health conditions are treated the same way as members being treated for below the neck conditions. However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. margin-right: 0in; border-collapse: collapse; ); (2) The applicant does not have a prior history of ventricular fibrillation or episodes of sustained ventricular tachycardia within the last three years; (3) The ICD or anti-tachycardia device was implanted more than three years ago; (4) The ICD has not fired nor has the applicant required anti-tachycardia pacing therapy within the last three years; (5) There are no additional risk factors for inappropriate shock such as uncontrolled atrial fibrillation; (6) The applicant's left ventricular ejection fraction is greater than 35% with a steady or improving trend; (7) There is no history of any symptomatic or clinically significant heart failure in the past two years; (8) There is no evidence of significant reversible ischemia on myocardial perfusionimaging exercise stress testing; (9) The applicant's exercise capacity on formal stress testing (using standard Bruce Protocol) is greater than or equal to the 8 METs (metabolic equivalents); (10) The applicant's treating cardiologist or electrophysiologist provides a written assessment of the individual that supports a determination that the mariner is at low risk for future arrhythmia, adverse cardiac event or sudden incapacitation based upon objective testing and standard evaluation tools; (11) The applicant does not have any other medical conditions which may alone, or incombination with an ICD or anti-tachycardia device, affect the mariner's fitness. %PDF-1.5 & Estates, Corporate - } Unfortunately, recruits cannot appeal the decision for immediate denial of MEPS. As a result, contacting a congressperson will not change anything about the matter. Medical waivers for OSA require submission of an annual sleep specialist evaluation that documents treatment efficacy, the patient's treatment compliance and an assessment for symptoms of daytime sleepiness. I just read the facebook message from the Commandant re-garding the historic first time ever that a servicemembers have not been paid. Obstructive sleep apnea (OSA) is one specific type of sleep apnea and is, therefore, subject to further review under the same item number. The list is comparable to the other branches of the military. Therefore, the admission standards are the same for every military branch (including the U.S. Coast Guard). Any defect or disorder of the extremities (including movement and range of motion) that produce noticeable deformity or interfere with normal daily functions Torn cartilage, unstable ACL or PCL, or surgical correction of any ligaments if unstable or symptomatic Chronic knee pain syndrome including, but not limited to patella-femoral syndrome The best thing you can do is be open and honest with a recruiter about any underlying medical conditions. on The criteria are summarized as follows: (1) The applicant does not have a diagnosis of a cardiac channelopathy affecting the electrical conduction of the heart (to include Brugada syndrome, Long QT syndrome, etc. 7115, prior to establishing a final policy on whether waivers should be granted for anti-tachycardia devices or ICDs, and if so, under what circumstances. Ophthalmology consultation may be required. border-width: 1pt; HSWL will work with the Personnel Services Center in the coming weeks to determine which Coast Guard-specific standards are needed. Technology, Power of from 36 agencies. Only official editions of the Speak to a local military recruiter for more questions about disqualifying health conditions. { border-bottom-style: solid; Medical Waivers For Coast Guard Judgment documents in the last year, 467 It is not an official legal edition of the Federal TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". .telerik-reTable-4 td.telerik-reTableFooterOddCol-4 Retainer appliances are acceptable once all orthodontic care is complete. Mental and behavioral health conditions are no different. Its possible to try and enlist in another branch after another denied your military medical waiver. Current orthodontic appliances traditional braces or Invisalign) for continued treatment are disqualifying. Availability of DD-2808 Report of Medical Examination and DD-2807-1 Report of Medical Use professional pre-built templates to fill in and sign documents online faster. Horseshoe kidney or absence of one kidney, Active or difficult to treat genital herpes (even if asymptomatic), Bilateral kidney stones or single kidney stone in the preceding 12 months of the exam, Cardiovascular defects or other congenital abnormalities, History of recurrent or ongoing cardiopulmonary symptoms including, but not limited to syncope (fainting) and pre-syncope, History of pneumothorax within the past year if due to simple trauma or surgery, or a history within the past three years if spontaneous. A. You may submit comments identified by docket number USCG-2015-0090 using any one of the following methods: (1) Federal eRulemaking Portal:http://www.regulations.gov. border-bottom-style: solid; The helicopter crew consisted of U.S. Coast Guard Air Stations Miami, Houston, and Mobile members. 2. Justification: Although poorly controlled diabetes can lead to long term diabetic complications, the consequences of hypoglycemia pose an immediate threat of sudden incapacitation with risk to public and maritime safety. Speak to a local military recruiter for more information about disqualifying health problems, seeking a medical waiver, and MEPS. .telerik-reTable-4 td.telerik-reTableFooterLastCol-4 Published guidance on the criteria that will be used in determining whether an applicant's medical condition warrants a medical waiver will support Coast Guard efforts to consistently evaluate merchant mariners with these conditions and assess whether the risk associated with an applicant's medical condition is sufficiently mitigated to warrant a medical waiver under 46 CFR 10.303. They simply need to wait and let time heal the problem. border-width: 1pt; DEC. 2646, at 5 (McDonald)(2004), so the changes will likely not help the two mariners noted above. Since the issuance of NVIC 04-08 on September 15, 2008, there have been several instances where mariners sought waivers for these conditions. Submit a cardiology consultation, nuclear exercise stress test, echocardiogram and 24-hour Holter monitor. the current document as it appeared on Public Inspection on Waivers may be granted by the program to which you're applying, NOT DoDMERB. If you would like a form added to the list below contact the appropriate program manager. In determining whether a mariner having one of the aforementioned conditions warrants a medical waiver under 46 CFR 10.303, the Coast Guard seeks public input on whether the Coast Guard should consider the following specific medical documentation and medical criteria: I. NVIC 04-08, Condition #77: Cardiac decompensation or cardiomyopathy. However, many conditions allow you a closer medical examination where a qualified doctor can determine if you are still fit for service. This table of contents is a navigational tool, processed from the Other conditions, like mental health, makes it more challenging to receive clearance to serve the military: NOTE: The U.S. Navy recently adapted its medical waiver process. Herniated disc or history of surgical correction of this condition, History of chronic or recurrent low back pain, Surgical or congenital fusion of any part of the spine. Some of these conditions make it harder to receive a medical waiver. The United States Army will analyze infections and other conditions of the head, eyes, ears, nose, mouth, and neck. Applicants who fail the American Optical Company PIP test shall be considered qualified if they pass a Computerized Color Vision Test (CCVT). on documents in the last year, by the Nuclear Regulatory Commission border-width: 1.0pt 1.0pt 3.0pt 1.0pt; Related Article How To Join The US Army. USLegal received the following as compared to 9 other form sites. Forms, Real Estate documents in the last year, 11 Your email address will not be published. 3 0 obj informational resource until the Administrative Committee of the Federal { { <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 02/17/2015 at 8:45 am. We will also be entering the waiver process.